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1986, 03-31 Permit App: 00011020 Residence
(THIS IS NOT A PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK er, (Please return this original and your building plans to the Department of Building and Safety) 41415,, �• .r-.v�v rel I��./ flh 1L 1 vn vI_ r El 1 wI uv 1 flL VJG Project Number / t „, /2O C/ Owner's Name LAST FIRST MI TUPPER INC. Project Address (Street Name & Number) Zip E. 14918 Broad Ave. Spokane, Washington 99216 Applicant TUPPER INC. Address E. 12929 Sprague Ave, City Spokane State Wasington Zip 99216 Phone (509 )928-1991 Business Phone (509 )928-1991 Contractor i Agent TUPPER INC. Add ess E. 12929 Sprague Ave. City Spokane State Washington Zip 99216 Phone (509 928-1991 Contact Ken or Debbie License Number (Required) TUPPEIR179DC Business Phone (509 )928-1991 Architect 1 Engineer Address City State Zip Phone ( 1 Contact Business Phone ( 1 Lender Address City State Zip Phone ( 1 SFR'' rPfat Na menShort Plat Number 3564/4% 1'17-5" . /4.0 rzo,/z/ ;.. /`i1, 19, .. SUMMERFIELD EAST 2ND ADDITION Assessor Parcel Number Lot 8 Biodc 11 Plat Number Pertinent File NumbersZona Comp. Pian Census Trail Number of Dwelling Units 1 Number of Buildings 1 Lot Size {Sq. Ft. /Acre) 11 200 Depth f 90 Fcantage S© t front SetbackLeft (3e Setback ) Right Setback j) Reer Setback Additional Information 12 6 main floor ENT USE Square Footage 324 finished_3rd level • • • . ' 1-1 0 - - garage i 1 DEPARTIvi 8uiiding Technician JQN rn. Date 3-3)-9(3 _ Group -3 Type \JtJ DEPARTMENTAL REVIEW I certify that I have examined this application and state that the information contained in it and submitted by me or my agent is true, correct, legal, and binding. Owner's Signature Date 3 - /--S 6 Approved Cond. Approval Hold Environmental Health Permit Number W. 1101 College Room 200 Planning /Zoning N. 721 Jefferson Permit Number Engineers N. 811 Jefferson Utilities N. 811 Jefferson Pian Review/Firs Prevention N. 811 Jefferson Other (SEPA/ CrItical Material /etc.) Fast Track/Special Inspection Information Project Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent is true, correct, legal, and binding. Owner's Signature Date 3 - /--S 6 .45 7 1 00 £. ,r 4." /poor .7001 Opip9INFris47 1' iltswe 14E1/. 347 0' 4/• YI II • /93 woncreic- 301 ;), ADDRESS E. 14918 BROAD -Re 041/, STYLE 3200 -4th LEGAL DESCRIPTION L8 B11 SUMMERFIELD EAST 2ND ADDITION APPLICANT TUPPER POWER WWP JOB # 592 FHA CASE # WATER TRENTWOOD SCALE 1"=20'